TIPS

    Use 12L transducer

    Use SCROTAL preset under “Sm Parts” on GE machine

    Scan non-painful testicle first.

Protocol

Trans Midline : Grayscale to compare echogenicity, big picture

Trans Upper/Mid/Lower

        Take measurement on Mid image

Long Lat/Mid/Medial Grayscale

        Take measurement on Mid image

Long Lat/Mid/Medial Color

        Adjust color scale on normal side, then keep same scale to examine abnormal side

        Take pictures of each side separately showing color and flow 

        Take color of both testicles in one picture using the C5 if necessary

Image and measure epididymis (superior to testicle) +/- color

If you don’t see flow in boys <2 yrs -, decrease RPF; if high clinical suspicion, but negative study, can get nuclear med flow study

For your entertainment: Instructional video